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f <br /> i <br /> ELECTRICAL PERMITw APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> L Wpu4 Sr E 20 t <br /> PROJECT ADDRESS <br /> owner Mail Address city SWOOP Phone <br /> Tdnant Mail Address City State/Zip Phone <br /> L4 Z5, ?*-8 11-9 <br /> Electrical Contractor Mail Address 6itf+ Stateop Phone <br /> State License Number(required) City of Everett Business License Number(,required) <br /> Troposed Use of BuildingContract Price of Work <br /> Wn A03 WAC, y25-Z18- 170r} <br /> Square Footage(If residential new constMt tion,remodel or addition) Contact Peruon/Contact"Nu'mbertEmail <br /> OA <br /> Number o devices(lf lov7 vcitage) ^ <br /> Descripdon`of Work to Be Done: � .�. �_'� :. �! s 1 �� "�X <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 00 <br /> 1 hareby ceFdfythatl have read and examined this appticadon and know the some to be true-and x� <br /> correct: All provisions of laws and ordinances governing this type of work MY be ccmpieted — mm <br /> whether speclfted herein'ornot. The granting of a permit sloes not presume to give authority to PERMIT# _ <br /> violate orcancul the provfsfons of any other state or local law regulating constructlon or the w <br /> performance of construction. That 1 am authorized by the owner of tuts property to perform the ltih/ <br /> work for which application Is made and l comply with the State Contrpctors Law 18,27 ROW and <br /> 296.200 WAG. <br /> - ygna ura - Diile <br /> REWSED OWO&t121 1 d <br /> __ _ <br />